College of Education – Special Education Program
PREPARING REFLECTIVE PRACTITIONERS
SELF-REFLECTIVE MID TERM EVALUATION
REPORT OF INTERN TEACHING
(TO BE COMPLETED BY INTERN TEACHER)
Name of Intern Teacher
WIN
School Name/District
Grades/Subjects Taught
Mentor/Cooperating Teacher
University Coordinator
Date
The seven standards listed in this evaluation form reflect the Entry-Level Standards for Michigan Teachers,
as approved by the State Board of Education in October 2002. Specific items under each standard area are
based upon those standards, INTASC (Interstate New Teacher Assessment and Support Consortium), and
WMU’s Conceptual Framework: Preparing the Reflective Practitioner.
Use the following scale to assess your current achievement as measured against your expectations of a typical
entry-level teacher:
FAN = Focused Attention Needed
PTE = Progressing Toward Expectations
ME = Meets Expectations
Use comments or examples to describe performance and explain scale selections. Comments may address
individual items or the standard as a whole. (Attachments may be made to this document but must be dated and
signed by the Intern Teacher, Mentor/Cooperating Teacher, and the University Coordinator.) Documentation
must accompany any indicator measured as ‘FAN.’ An Intern Teacher must achieve a rating of at least
‘PTE’ on each indicator to receive credit for the internship (470 and/or 471; 474; 475). This evaluation is
to be given to your Mentor/Cooperating Teacher at least 3 days prior to the Final Evaluation Report of Intern
Teaching.
STANDARD ONE: LIBERAL ARTS
The intern teacher understands and appreciates the liberal arts as demonstrated by/through:
A. Effective oral and written communications.
B. Applying inquiry methods appropriate to the content.
C. Using global and international perspectives in planning, teaching, and reflecting
on practice.
D. Respecting individual differences, including those of culture, race, gender,
religion, and ethnicity.
E. Respecting individual rights and values.
8/04
FAN
PTE
ME
Comments:
STANDARD TWO: UNDERSTANDING DIVERSE LEARNER
The intern teacher is committed to student learning and achievement as
demonstrated by:
A. Applying knowledge of human growth, development, and learning theories.
B. Supporting student development in cognitive, affective, physical, and social
capacities.
C. Appropriately managing classrooms to ensure a safe and orderly learning
environment.
D. Planning instruction to accommodate diversity.
E. Assessing student abilities and needs when planning instruction.
F. Creating inclusionary environments for students with exceptional needs and
abilities.
G. Incorporating various kinds of literacy to promote access to knowledge (numeracy, graphics,
printed text, computers, artistic expression, and electronic media).
Comments:
8/04
FAN
PTE
ME
STANDARD THREE: TEACHING PRACTICE AND CONTENT KNOWLEDGE
The intern teacher has knowledge of subject matter and pedagogy as
FAN
demonstrated by:
A. Maintaining learning environments that promote critical and higher order
thinking skills and allow
for substantive conversation with the teacher and/or
peers about subject matter.
B. Helping students access and use information, technology, and other resources to
become
independent learners and problem solvers.
C. Integrating knowledge across subject areas.
D. Seeking and using updated information and procedures.
PTE
ME
Comments:
STANDARD FOUR: MONITORING STUDENT LEARNING
The intern teacher manages and monitors student learning based on best
practice as demonstrated by:
FAN
PTE
ME
A. Using a variety of cognitive, affective, and psychomotor strategies and teaching methodologies to maximize
learning.
B. Accommodating differences among students, including those students with exceptional needs and abilities.
C. Assessing the success of teaching episodes through the assessment of student learning.
D. Working effectively with support personnel to maximize opportunities for student achievement and success.
E. Acknowledging and applying the legal and ethical responsibilities of teaching.
Comments:
STANDARD FIVE: PROFESSIONAL DEVELOPMENT AND ORGANIZATION
The intern teacher systematically organizes teaching practices and learns from
experiences as demonstrated by:
FAN
A. Using current research in both the subject field and in other areas of practice in the profession .
B. Exercising good judgment in planning and managing time and other resources.
C. Engaging students in meaningful learning experiences.
D. Making efforts to develop and improve as a professional in recognition that teaching is a lifelong learning
process.
E. Interacting successfully with teachers, administrators, counselors, and other support personnel to benefit
students.
F. Engaging in meaningful self-evaluation and reflection on the professional practice of colleagues.
Comments:
8/04
PTE
ME
STANDARD SIX: PROFESSIONAL CONDUCT IN LEARNING COMMUNITIES
The intern teacher has a commitment and willingness to participate in learning
FAN
communities as demonstrated by:
PTE
ME
PTE
ME
A. Being punctual.
B. Wearing appropriate professional attire.
C. Establishing and maintaining healthy boundaries with students and with other school personnel.
D. Using community resources to enhance school programs.
E. Demonstrating knowledge of the various communities in which the teacher is a member, including the
professional community and local, state, national, and international communities.
F. Working effectively with parents and guardians to maximize opportunities for student achievement and
success.
Comments:
STANDARD SEVEN: TECHNOLOGY
The intern teacher uses information-age learning and technology to enhance
learning and personal/professional productivity as demonstrated by:
FAN
A. Planning effective technology-enhanced learning environments and experiences aligned with state standards.
B. Implementing curriculum plans that include technology-enhanced methods and strategies to maximize
student learning.
C. Using technology to enhance professional development and productivity.
D. Applying an understanding of the equity, ethical, legal, social, physical, and psychological issues
surrounding the use of technology in P-12 schools.
Comments:
_________________________
*Intern Teacher’s Signature
_________________________
Mentor/Cooperating
Teacher’s Signature
_________________________
University Coordinator’s
Signature
*The Intern Teacher’s signature is required to attest to the fact that this evaluation has been reviewed with
her/him. The signature does not imply agreement or disagreement with the evaluation ratings assigned.
I authorize Career and Student Employment Services
to release copies of this evaluation to an employer. ____________________________________________________________________________
8/04
____
Date